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General NPI Number Information
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NPI Number | 1407398324
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Entity Type | Organization
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Legal Business Name | ZOTHEKA INC.
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 2038 HAWKS VIEW DR
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City | RUSKIN
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State | FL
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Zip | 33570-8011
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Country | US
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Telephone | 813-421-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 2038 HAWKS VIEW DR
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City | RUSKIN
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State | FL
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Zip | 33570-8011
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Country | US
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Telephone | 813-421-2602
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Fax | 239-303-7117
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Authorized Official
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Title or Position | OWNER
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Name | MARCHELLE RACHEL
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Credential | DPT
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Telephone | 754-234-5319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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